| NPI | 1144748161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012680) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2023-06-16 |